PIERRE AMOG
NPI 1083356398
Student in an Organized Health Care Education/Training Program in Long Branch, NJ
About Pierre Amog NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PIERRE AMOG (NPI 1083356398) is an individual student in an organized health care education/training program in Long Branch, New Jersey and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pierre Amog is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Pierre Amog reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONG BRANCH, NJ 07740
LONG BRANCH, NJ 07740
LONG BRANCH, NJ 07740
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pierre Amog's NPI number?
The NPI number for Pierre Amog is 1083356398. It was assigned to this individual provider in the NPPES registry on April 8, 2022.
Where is Pierre Amog located?
Pierre Amog practices at 300 2nd Ave, Long Branch, NJ 07740. The listed phone number is (732) 923-6540.
What is Pierre Amog's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Pierre Amog enrolled in Medicare?
Yes. Pierre Amog is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Pierre Amog's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pierre Amog reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pierre Amog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Pierre Amog was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pierre Amog · NPI 1083356398
Student in an Organized Health Care Education/Training Program provider in Long Branch, New Jersey. Individual provider, active in the CMS NPPES registry since April 8, 2022.
## Identity
- **NPI:** 1083356398 (Entity type: Individual)
- **Enumerated:** April 8, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 300 2ND AVE, Long Branch, NJ 07740-6303
- **Phone:** (732) 923-6540
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1083356398) · Data from the CMS NPPES public registry.